Yilmaz, Muhittin Serkan Ankara Numune Egitim ve Arastirma Hastanesi - Acil Tip Klinigi, Turkey , Çavus, Umut Yücel Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi - Acil Tip Klinigi, Turkey , Büyükcam, Fatih Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi - Acil Tip Klinigi, Turkey , Çevik, Mahmut Istanbul Ümraniye Egitim ve Arastirma Hastanesi - Acil Tip Klinigi, Turkey , Kesim, Ahmet Van Egitim ve Arastirma Hastanesi - Acil Servis, Turkey , Afacan, Mustafa Ahmet Istanbul Haydarpasa Numune Egitim ve Arastirma Hastanesi - Acil Tip Klinigi, Turkey , Köroglu, Derya Balci Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi - Acil Tip Klinigi, Turkey , Karakiliç, Muhammed Evvah Ankara Numune Egitim ve Arastirma Hastanesi - Acil Tip Klinigi, Turkey , Sirmali, Mehmet Süreyyapasa Gögüs Hastaliklari ve Gögüs Cerrahisi Egitim ve Arastirma Hastanesi, Turkey

The penetrating thoracic trauma in the emergency department: Retrospective analysis of 76 patients

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Objective: Trauma is the most frequent cause of death among the young population. Thoracic trauma is responsible for 25% of all deaths due to trauma, and contributes to mortality among the other 25% of deaths due to trauma. In this study, analysis of 76 patients admitted to the emergency department with penetrating chest trauma was performed. Materials and Methods: 76 patients admitted to the emergency department with penetrating chest trauma in 2010 were included to the study. Age, gender, causes of trauma, admission times, thoracic pathologies, diagnostic methods and their results, medical managements, hospitalization information and concomitant injuries were analyzed. 76 patients were included in the study. The mean age was 31.4 (range 18-63), 93.4% of patients were male (n=71), F/M ratio was 14.2. Results: The most common cause of penetrating trauma was stab injury (59 patients, 77.6%), the second most common cause was gunshot injury (14 patients, 18.4%). The most common pathology associated with chest trauma were extremity injury (19 people, 24%). 24 patients (31.5%) were followed conservatively; tube thoracostomy were performed to 40 (52.6%) of the patients. Conclusions: The most frequent cause of penetrating chest trauma is stab injury, it can be treated frequently with conservative management and tube thoracostomy.

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penetrating thoracic trauma , hemothorax , pneumothorax , emergency medicine

Medical Journal Of Suleyman Demirel University

143